[Inguinal herniotomy in outpatient clinics and in hospital departments].

Introduction: The purpose of the investigation was to examine the use of ambulatory surgery, anesthetic technique, reoperation rates, and reembursement fees after inguinal herniotomy in private outpatients clinics compared to herniotomy in hospital departments.

Material And Methods: Information on number of operations performed, choice of anesthetic and surgical technique in private outpatients clinics and hospital departments was extracted from the Danish Hernia Data Base. Information on reembursement fees was obtained from the relevant health authorities and the Danish Medical Association.

Resection of cancer of the body and tail of the pancreas.

Background/aims: To report our results of resection of cancer in the body and tail of the pancreas and review the literature.

Methodology: Thirteen patients with a median age of 62 years with cancer of the body and/or tail of the pancreas. The diagnosis was made by ultrasonography, computed tomography, endoscopic retrograde cholangiopancreatography and angiography.

[Ultrasound-guided radiofrequency ablation of malignant liver tumors].

Introduction: Radio frequency ablation (RFA) of malignant tumours is a new and promising treatment modality. The aim of this study was to evaluate the method in patients with non-resectable liver tumours.

Material And Methods: RFA was performed under the guidance of ultrasonography and general anaesthesia in 37 patients from December 1998 to November 2001.

Improved detection and biopsy of solid liver lesions using pulse-inversion ultrasound scanning and contrast agent infusion.

The purpose of this study was to assess the ability of pulse-inversion ultrasound (US) scanning (PIUS), combined with an IV contrast agent, to detect malignant liver lesions and its impact on patient management (resectability). Additionally, to determine the feasibility of US-guided biopsy of new PIUS-findings at the same session. A total of 30 patients with known or clinically suspected cancer underwent conventional B-mode scanning and PIUS with IV-administered contrast agent.

Pancreaticoduodenectomy for periampullary cancer in patients more than 70 years of age.

Background/aims: To assess the indications for and results of pancreaticoduodenectomy in patients more than 70 years old with periampullary cancer.

Methodology: Thirty-four consecutive patients older than 70 years with periampullary cancer. The surgical procedure was pancreaticoduodectomy (Whipple's operation) with an extensive dissection of lymph nodes and the connective tissue in the peripancreatic region.

Clinical efficacy of micronized purified flavonoid fraction: an overview.

Flavonoids are widely used for the treatment of chronic venous insufficiency (CVI). In clinical trials, micronized purified flavonoid fraction (MPFF, 450 mg diosmin plus 50 mg hesperidin, Daflon 500 mg) has demonstrated its activity in CVI by improving venous tone and vein elasticity assessed by plethysmography. Randomized, double-blind, placebo-controlled clinical studies have shown an improvement in signs and symptoms related to CVI and a decrease in leg circumferences at the levels of the ankle and calf.

[Pancreaticoduodenectomy--Whipple's operation--for periampullary cancer in patients over 70 years of age].

Thirty-four consecutive patients with an age over 70 years with periampullary cancer were operated on with pancreaticoduodenectomy (Whipple's procedure). The operative procedure included an extensive dissection of the regional connective tissue and lymph nodes including the retroperitoneum. Postoperative medical complications occurred in 24% and surgical complications in 53% of the patients.

Doppler ultrasound assessment of TIPS patency and function--the need for echo enhancers.

Purpose: The aim of this study was to illustrate the versatility of an i.v. administered echo enhancer for Doppler US assessment of TIPS patency and function.

[Transjugular intrahepatic portosystemic shunt. Treatment of patients with recurrent bleeding from esophageal varices].

We report the results of transjugular intrahepatic portosystemic shunt (TIPS) procedure in six patients with liver cirrhosis and recurrent bleeding or acute intractable bleeding from oesophageal varices in spite of multiple sessions of sclerotherapy. Median follow-up was 15 months (range 1-24 months). The procedure was technically successful in all patients without procedure-related morbidity or mortality.

[Liver trauma].

Over a 15-year period 43 patients were treated for liver trauma in a surgical department, subspecialized in liver surgery. The trauma mechanism was blunt in 88% and penetrating in 12%. According to the Organ Injury Scale system of liver trauma, they consisted of 10 in class I, three in class II, 16 in class III, 11 in class IV and three in class V.

[Hepatic metastases disclosed by laparoscopy and echographic laparoscopy. Impact of ultrasound-guided biopsy].

Unlabelled: The aim of this prospective study was to study the impact of biopsies of liver metastases guided by laparoscopic ultrasound (LUS) and to evaluate various biopsy techniques.

Material And Methods: Laparoscopy with LUS was performed on 18 consecutive patients with liver metastases considered to be surgically curable. Any new liver lesion which could lead to a therapeutic modification was biopsied, with a forceps or guided by LUS using four different techniques.

[Augmentation ileo-cystoplasty in women with disabling urge incontinence].

The results after "clam"-augmentation cystoplasty are assessed in 11 consecutively operated women aged 35-78. All were suffering from severe urgency. Eight were urge-incontinent and six of these stress-incontinent as well.

Subcutaneously versus subfascially administered lidocaine in pain treatment after inguinal herniotomy.

We conducted a randomized, prospective, double-blind trial to compare the efficacy of subfascial (SF) versus subcutaneous (SC) lidocaine (10 mL 1%) given in the wound postoperatively through a catheter placed in the respective layer intraoperatively. The initial pain scores were similar in the two groups before injection of lidocaine. In the SC group, there was a reduction in pain scores during rest from 4 to 3 (P > 0.

Venous investigations: the current position.

Chronic venous insufficiency (CVI) is a challenge to the medical profession, for clinical examination provides useful information on CVI, but it is qualitative and does not suffice, especially in patients with isolated deep venous insufficiency but without conspicuous signs of CVI. Ambulatory venous pressure (AVP) measurement has diagnostic value and prognostic capabilities, but it is invasive, is not suitable for repeated use in the same patient, and is not suitable as a screening test. The author surveys noninvasive, volumetric methods that correlate to AVP and that have been developed as alternatives.

Flavonoids. A review of the pharmacology and therapeutic efficacy of Daflon 500 mg in patients with chronic venous insufficiency and related disorders.

Daflon 500 mg consists of 450 mg diosmin and 50 mg flavonoid expressed as hesperidin. The authors describe its effects on the microcirculation in chronic venous insufficiency: improvement of venous tone, inhibition of prostaglandin synthesis, protection against free radicals, activation of the complement system, and increased lymphatic drainage. The authors summarize studies of its therapeutic efficacy in reducing venous capacitance, distensibility, and emptying time; reducing capillary permeability; and increasing capillary resistance.

[Computed tomographic detection of air in the portal vein--a case report].

Two cases of portal venous gas (PVG) are presented. One case due to bowel infarction and another due to duodenal ulcer perforation complicated by a subphrenic abscess. The diagnosis was suggested from plain abdominal radiographs and confirmed by unenhanced computed tomography (CT) of the abdomen which is superior to demonstrate gas in the portal venous system.

Treatment of recurrent urethral stricture by internal urethrotomy and intermittent self-catheterization: a controlled study of a new therapy.

A controlled study of the effect of treatment of recurrent urethral stricture by internal urethrotomy followed by clean intermittent self-catheterization for 3 months is reported. There were 28 men (median age 70 years, range 18 to 75) allocated to internal urethrotomy and clean intermittent self-catheterization for 3 months (treatment group) and 33 (median age 76 years, range 36 to 87) were randomized to undergo internal urethrotomy only (observation group). The groups were comparable in terms of patient age, etiology of the primary stricture, number of recurrences, length and site of the actual stricture, and preoperative maximum flow rate (p less than 0.

Ambulatory strain-gauge plethysmography and blood volume scintimetry for quantitative assessment of venous insufficiency.

In the present study, a strain-guage plethysmographic method (ASGP) is compared to an isotope plethysmographic method (ABVS), in order to evaluate how an externally recorded volume change corresponds to blood displacement within the leg during exercise. The coefficient of correlation for RT (venous return time) was 0.67 (P less than 0.

The treatment of female bladder neck dysfunction.

During the period 1981-88, 38 women who eventually had the diagnosis of bladder neck obstruction established, were treated by bladder neck incision. Their age range was 28-85 years. The preoperative investigations included a full urodynamic examination and urethro-cystoscopy.

Venous muscle pump function during pregnancy. Assessment by ambulatory strain-gauge plethysmography.

The venous muscle pump function was quantitatively assessed through pregnancy weeks 16, 30, 38 and 3 months (week 53) following delivery, in 24 pregnant women who completed a normal pregnancy. A statistically significant increase was found in the mean venous reflux (P less than 0.01), which was restored to initial values postpartum.

Resection of the first rib, following deep arm vein thrombolysis in patients with thoracic outlet syndrome.

In order to evaluate, the prophylactic effect of first rib resection in patients with fibrinolytic recanalised deep arm vein thrombosis, we present our experience with 21 patients. After recanalisation 12 had phlebographic signs of venous compression in the costoclavicular space, with the arm in the normal position. This fulfills the requirements for thoracic outlet syndrome (TOS).

Late cosmetic results of wound closure, strips versus suture.

Following 264 non-contaminated abdominal operations, skin closure was performed after randomization to Steri-Strip tape suture or conventional continuous 3-o or 4-o Dermalon suture. The cosmetic results were evaluated six and 46 months after the operation. In the six-month review Steri-Strip tape suture showed advantages over conventional suturing.